Individual
STEFANI CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2309 WATERS RUN, DECATUR, GA 30035-2529
(188) 827-6862
(188) 827-3862
Mailing address
2309 WATERS RUN, DECATUR, GA 30035-2529
(188) 827-6862
(188) 827-3862
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00910016A
—
GA
Enumeration date
12/01/2006
Last updated
07/09/2007
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